Individual
COURTNEY LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
293 JAMES RD, WALLACE, NC 28466-7201
(910) 375-2368
Mailing address
293 JAMES RD, WALLACE, NC 28466-7201
(910) 375-2368
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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